| NPI | 1700014727 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA ILUSEN ULOFOSHIO Owner/Administrator 907-929-2431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |